PENNY S. MEDIATE, M.D., P.C. (NPI# 1467694133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467694133 |
| Entity Type | Organization |
| Organization Name | PENNY S. MEDIATE, M.D., P.C. |
| Practice Address |
1605 S Locust Ave Suite 102 Lawrenceburg TN 38464-4053 |
| Practice Telephone | 9317662050 |
| Practice Fax Number | 9317662773 |
| Mailing Telephone | 9317662050 |
| Mailing Fax Number | 9317662773 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | PENNY SMITH MEDIATE (PRESIDENT) |
| Authorized Official Telephone | 9317662050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1605 S LOCUST AVE SUITE 102 |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786129 | Neurology Associates | Psychiatry & Neurology | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 | 2006-03-29 |
| 1902284466 | Mattea Katarena Butler | Specialist/Technologist | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2015-05-15 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1578836011 | Amg-crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1528336286 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2011-12-09 |
| 1457666372 | Amg Crockett LLC | Orthopaedic Surgery | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4061 | 2010-08-16 |
| 1730492737 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2010-07-19 |
| 1437477700 | Amanda D Haneline | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2010-05-12 |
| 1568627214 | Angella Marie Bowden | Nurse Practitioner | 1605 S Locust Ave, Ste 200, Lawrenceburg, TN 38464-4061 | 2008-07-22 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174153555 | Jennifer Renee Williams | Family Medicine | 307 W Point Rd, Lawrenceburg, TN 38464-3055 | 2020-01-24 |
| 1437401080 | All Pro Health LLC | Family Medicine | 1238 1st Ave, Lawrenceburg, TN 38464-2704 | 2012-10-05 |
| 1447382361 | Gregory A Hines | Family Medicine | 1311 S Locust Ave, Suite 102, Lawrenceburg, TN 38464-4040 | 2007-03-09 |
| 1144312372 | Clayton D Wilson | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2706 | 2006-09-28 |
| 1902919962 | Matthew C Dobias | Family Medicine | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 | 2006-08-16 |
| 1609886936 | Homer Lee Staley | Family Medicine | 104 N Locust Ave, Lawrenceburg, TN 38464-3734 | 2006-08-09 |
| 1982659496 | Anderson Primary Care LLC | Family Medicine | 1055 Corporate Drive, Lawrenceburg, KY 40342 | 2006-05-23 |
| 1003884156 | Charles Robert Claydon | Family Medicine | 605 Wilson Creek Rd, Suite 102, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1356310379 | Laura Jill Tibbe | Family Medicine | 24129 Professional Park Dr, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1134195860 | Gregory Alan Hines | Family Medicine | 1311 S Locust Ave Ste 102, Suite 102, Lawrenceburg, TN 38464-4054 | 2006-02-23 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on PENNY S. MEDIATE, M.D., P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.